FORM 1023-EZ for WHITEHEAD ELEMENTARY SCHOOL PARENTTEACHER ORGANIZATION

Field Data
EIN 82-3239616
Case Number EO-2018199-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITEHEAD ELEMENTARY SCHOOL PARENTTEACHER ORGANIZATION
Organization’s Mailing Address 2325 OHIO PARKWAY
City ROCKFORD
State IL
ZIP 61108
Accounting period End 6
Primary contact name GRETCHEN BEAMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA WIRTJES
PRESIDENT
2341 17TH AVE
ROCKFORD IL 61104

Officer/Director/Trustee Two

ROBIN KELLEY-GOETHE
VICE-PRESIDENT
3703 SEWARD AVE
ROCKFORD IL 61108

Officer/Director/Trustee Three

MARIAH GROSSEN
SECRETARY
3304 WESLEYAN AVE
ROCKFORD IL 61108

Officer/Director/Trustee Four

GRETCHEN BEAMAN
TREASURER
1716 26TH ST
ROCKFORD IL 61108

Organization’s website
Organization’s email PTOWHITEHEAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRETCHEN BEAMAN
Signature Title TREASURER
Signature Date 7/16/18
EIN 82-3239616
Case Number EO-2018199-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WHITEHEAD ELEMENTARY SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2325 OHIO PARKWAY
City ROCKFORD
State IL
ZIP 61108
Accounting period End 6
Primary contact name GRETCHEN BEAMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA WIRTJES
PRESIDENT
2341 17TH AVE
ROCKFORD IL 61104

Officer/Director/Trustee Two

ROBIN KELLEY-GOETHE
VICE-PRESIDENT
3703 SEWARD AVE
ROCKFORD IL 61108

Officer/Director/Trustee Three

MARIAH GROSSEN
SECRETARY
3304 WESLEYAN AVE
ROCKFORD IL 61108

Officer/Director/Trustee Four

GRETCHEN BEAMAN
TREASURER
1716 26TH ST
ROCKFORD IL 61108

Organization’s website
Organization’s email PTOWHITEHEAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRETCHEN BEAMAN
Signature Title TREASURER
Signature Date 7/16/18

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